2004-07-27_REVISION - M1981044 ‎(2)‎

• Permit No: M1981044
• IBM Index Class Name: Revision
• Doc Date: 7/27/2004
• Doc Name: Amendment Application
• From: DMG
• To: Solberg Gravel LLC
• Type & Sequence: AM1
• Media Type: D
• Archive: No

TATE OF COLORADO
DIVISION OP MINERALS AND GEOLOGY ~, .~_
Department of Natural Resources
1313 Sherman St., Room 215
Denver, Colorado 80203
Phone: t303) 866-3567
FAX: (303) 832$106
CONSTRUCTION MATERIALS
REGULAR (112) OPERATION
JUL 2 7.2004 ~
Division of Minerals end Geology
RECLAMATION PERMIT APPLICATION FORM '/
CHECK ONE: x There is a File/Number Already Assigned to this Operation
Permit # M -~ ' ~9~Y (Please reference the file nut~tber currently assigned to this operation)
New Application (Kale 1.4.5) _~ Amendagerrt Application (Rule 1. ] 0)
/ _ Conver~ion,~iApplication (Rule 1.11) /
Permit # M - 1 ~~- O'i"r -_ (provide for Amendments and Converoions of eatisting permits)
COLORADO
DIVISION OF
MIN sRALS
GEOLOGY
0.ECLANATION•NINING
SAFETY•SCIENCE
Bill Owens
Govemar
Greg E. Watcher
Executive Director
Ronald W. canary
Division Director
Natural Resource Trustee
The application for a Construction Materials Regular 112 Operation Reclamation Pemlit contains three major parts: (1) the application foan;
(Z} Exhibits A-S, Addendum i, any sections ofExhibit 6.5 (Geotechnical Stability Exhibit; and (3) the application fee. When you submityour
application, be sure to include one (1) complete sitmed and notarized P/ORY ORIGINAL and one (1) copy ofthe completed I~ application
form, two (2) copies ofExhibits A-S, Addendum 1, appropriate sections of 6.5 (Geotechnical Stability Exhibit, and a check for the application
fee described under Section (4) below. Exhibits should NOT be bound or in a 3-ring binder, maps should be folded to 8112" X I 1"or 8 I/2" X
] 4" size. To expedite processing, please provide the information in the format and order described in this Porn.
GENERAL OPERATION INFORMATION
Type or print clearly, in the space provided, ALL information requested below. /
1. AoDlicanllouerator or mmoanv came (name to be used on trermit): ~(--3~~ GQ.A`~EC. (_LC /
1.1 Type of organization (corporation, partnership, etc.):
1.2 I.R.S. Tax I.D. No. or Social Security Number: _
2. Operation Dame toil, mine or site name): ~~
-153~~ta
3. Permitted acreage tnew or eltisting site):
3.1 Change in acreage (+)
3.2 Tota! acreage in Permit area
4. Fces:
4.1 New Application
4.2 New Quarry Application
4.4 Amendment Fee
4.5 Conversion to 112 operation (set by statute)
5. Primary rnmmoditiets) to be mined: EL ~ A/~ D
5.1 Incidental commoditie(s) to be mined: 1. - Ibs/TonsAT
3. / Ibs/TotLS/vr 4.
5.2 Anticipated end use of primary commoditie(s) to be mined: _
5.3 Anticipated end use of incidental commoditie(s) to be mined:
9/, q perutttted acres
2 r ~ acres
93 F 9 acres

$2.344.00 application fee
$2.906.00 quarry application
$1938.00 amendment fee
$2 344.00 conversion fee
2. ! Ibs/fonshT
5. / Ibs/Tons/vr
Office of Office of Colorado
Mined Land Reclamation Attive and Inactive Mines Geological Surve